The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Vertigo can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like vertigo here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here vertigo is often associated with dizziness, tinnitus and insomnia in the pattern “Kidney and Liver Yin Deficiency”. As you will see below, we have in record five patterns that can cause vertigo.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of vertigo we’ve identified five herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat vertigo.
The five "patterns of disharmony" that can cause vertigo
In Chinese Medicine vertigo is a symptom for 5 patterns that we have on record. Below is a small explanation for each of them with links for more details.
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney and Liver Yin Deficiency
Pulse type(s): Empty (Xu), Floating (Fu)
Tongue coating: Partial absence of coating
Tongue color: Red
In addition to vertigo, other symptoms associated with Kidney and Liver Yin Deficiency include dizziness, tinnitus and insomnia.
From a Western Medicine standpoint Kidney and Liver Yin Deficiency is associated with health issues such as Absence Of Menstruation, Menopausal Syndrome or Vaginal Itching.
Kidney and Liver Yin Deficiency is often treated with Zuo Gui Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Zuo Gui Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nourishes the Yin".
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Liver Wind agitating Internally due to Liver Yang Rising
Pulse type(s): Rapid (Shu), Empty (Xu), Wiry (Xian), Fine (Xi), Floating (Fu)
Tongue color: Red
Liver Yang Rising can create Interior Wind if the condition is not treated for a long time. It can be divided to three categories based on the cause of the pattern: Liver Yin Deficiency, Liver and Kidney Yin Deficiency or Liver Blood Deficiency.
In addition to vertigo, other symptoms associated with Liver Wind agitating Internally due to Liver Yang Rising include dizziness, tinnitus and insomnia.
Liver Wind agitating Internally due to Liver Yang Rising is often treated with Liu Wei Di Huang Wan, a herbal formula made of 6 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Liu Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system)".
Read more about Liver Wind agitating Internally due to Liver Yang Rising here
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu), Floating (Fu)
Tongue coating: Complete absence of coating
Tongue color: Red
Tongue shape: Cracked
Kidney Yin Deficiency causes false Heat symptoms, such as night sweats, thirst and five palm heat. These signs are from a depletion of Body Fluids and Essence. It can be caused by prolonged overwork, excessive sexual activity, chronic long term illnesses, consumption of Body Fluids by Heat, prolonged blood loss, overdosage of Kidney Yang tonics herbs, smoking and Kidney depleting foods such as coffee, alcohol, sugar, and fruit juices.
In addition to vertigo, other symptoms associated with Kidney Yin Deficiency include dizziness, tinnitus and insomnia.
From a Western Medicine standpoint Kidney Yin Deficiency is associated with health issues such as Menopausal Syndrome, Prolonged Periods or Irregular Menstruation.
Kidney Yin Deficiency is often treated with Liu Wei Di Huang Wan, a herbal formula made of 6 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Liu Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system)".
Crow-Dipper Rhizomes (Ban Xia) is the king ingredient for Er Chen Tang, a formula used for Phlegm
Phlegm
Pulse type(s): Slippery (Hua), Wiry (Xian)
Tongue coating: Sticky coating, Thick coating
Tongue shape: Swollen
The concept of Phlegm is much wider and important in Chinese Medicine than in the West. Broadly speaking, Phlegm is a substance produced when the body fails to handle Body Fluids properly.
In addition to vertigo, other symptoms associated with Phlegm include dizziness, palpitations and late period.
From a Western Medicine standpoint Phlegm is associated with health issues such as Low Breast Milk Supply, Late Menstruation or Scanty Menstruation.
Phlegm is often treated with Er Chen Tang, a herbal formula made of 5 herbs (including Crow-Dipper Rhizomes - Ban Xia - as a key herb). Er Chen Tang belongs to the category of "formulas that dry dampness and transform phlegm", which might be why it is often recommended for this pattern. Its main action as a formula is: "Dries Damp and dispels Phlegm".
Crow-Dipper Rhizomes (Ban Xia) is the king ingredient for Ban Xia Bai Zhu Tian Ma Tang, a formula used for Wind-Phlegm
Wind-Phlegm
Pulse type(s): Wiry (Xian)
Tongue coating: Sticky coating
Tongue shape: Deviated, Swollen
Wind-Phlegm is when Phlegm invades the Channels and sensory orifices, leading to such symptoms as dizziness, vertigo, or headache.
In addition to vertigo, other symptoms associated with Wind-Phlegm include dizziness, headaches and constipation.
Wind-Phlegm is often treated with Ban Xia Bai Zhu Tian Ma Tang, a herbal formula made of 8 herbs (including Crow-Dipper Rhizomes - Ban Xia - as a key herb). Ban Xia Bai Zhu Tian Ma Tang belongs to the category of "formulas that transform phlegm and extinguish wind", which might be why it is often recommended for this pattern. Its main action as a formula is: "Dries and dissolves Phlegm".
Five herbal formulas that might help with vertigo
Zuo Gui Wan
Source date: 1624 AD
Number of ingredients: 8 herbs
Key actions: Nourishes the Yin. Strengthens the Kidneys. Fills the Essence. Augments the marrow.
Why might Zuo Gui Wan help with vertigo?
Because it is a formula often recommended to treat the pattern 'Kidney and Liver Yin Deficiency' of which vertigo is a symptom.
Other symptoms characteristic of Kidney And Liver Yin Deficiency include dizziness, tinnitus and insomnia.
Zhen Gan Xi Feng Tang
Source date: 1918 AD
Number of ingredients: 12 herbs
Key actions: Sedates the Liver. Axtinguishes Wind. Nourishes the Yin. Anchors the yang.
Why might Zhen Gan Xi Feng Tang help with vertigo?
Because it is a formula often recommended to treat the pattern 'Liver Wind agitating Internally due to Liver Yang Rising' of which vertigo is a symptom.
Other symptoms characteristic of Liver Wind Agitating Internally Due To Liver Yang Rising include dizziness, tinnitus and insomnia.
Qi Ju Di Huang Wan
Source date: 1350 AD
Number of ingredients: 8 herbs
Key actions: Nourishes Kidney and Liver Yin. Improves vision.
Why might Qi Ju Di Huang Wan help with vertigo?
Because it is a formula often recommended to treat the pattern 'Kidney Yin Deficiency' of which vertigo is a symptom.
Other symptoms characteristic of Kidney Yin Deficiency include dizziness, tinnitus and insomnia.
Ling Gui Zhu Gan Tang
Source date: 220 AD
Number of ingredients: 4 herbs
Key actions: Warms and transforms Phlegm-Fluids. Strengthens the Spleen. Resolves Dampness.
Why might Ling Gui Zhu Gan Tang help with vertigo?
Because it is a formula often recommended to treat the pattern 'Phlegm' of which vertigo is a symptom.
According to Chinese Medicine, Phlegm can contribute to many health issues, including Morning Sickness.
Ban Xia Bai Zhu Tian Ma Tang
Source date: 1732 AD
Number of ingredients: 8 herbs
Key actions: Dries and dissolves Phlegm. Strengthens the Spleen. Smoothes the Liver and calms Liver Wind (antispasmodic).
Why might Ban Xia Bai Zhu Tian Ma Tang help with vertigo?
Because it is a formula often recommended to treat the pattern 'Wind-Phlegm' of which vertigo is a symptom.
Other symptoms characteristic of Wind-Phlegm include dizziness, headaches and constipation.
The five Chinese Medicinal herbs most likely to help treat vertigo
Why might Abalone Shell (Shi Jue Ming) help with vertigo?
Because it is both specifically indicated to treat vertigo and also because it is an ingredient in herbal formulas known to treat vertigo as a symptom (such as E Jiao Ji Zi Huang Tang for instance).
Abalone Shells is a Cold herb that tastes Salty. It targets the Kidney, the Liver and the Lung.
Its main actions are: Clears Heat and calms ascending Liver Yang. Clears Liver Heat that is obstructing the vision.
Why might Tortoise Plastron (Gui Ban) help with vertigo?
Because it is both specifically indicated to treat vertigo and also because it is an ingredient in herbal formulas known to treat vertigo as a symptom (such as Zuo Gui Wan for instance).
Tortoise Plastrons is a Cool herb that tastes Salty and Sweet. It targets the Heart, the Kidney and the Liver.
Its main actions are: Nourishes the Yin and holds down the Yang. Strengthens the Kidneys and strengthens the bones. Cools the Blood, stops uterine bleeding. Nourishes the Heart. Promotes Healing.
Why might Hematite (Dai Zhe Shi) help with vertigo?
Because it is both specifically indicated to treat vertigo and also because it is an ingredient in herbal formulas known to treat vertigo as a symptom (such as Zhen Gan Xi Feng Tang for instance).
Hematite is a Cold herb that tastes Bitter. It targets the Stomach, the Heart, the Liver and the Pericardium.
Its main actions are: Calms the Liver, anchors uprising Yang and clears Liver Fire. Moves Qi downward. Cools the Blood, stops bleeding.
Why might Poria-Cocos Mushroom (Fu Ling) help with vertigo?
Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat vertigo as a symptom, like Ling Gui Zhu Gan Tang or Liu Wei Di Huang Wan for instance.
Poria-Cocos Mushrooms is a Neutral herb that tastes Sweet. It targets the Spleen, the Heart, the Kidney and the Lung.
Its main actions are: Encourages urination and drains Dampness. Tonic to the Spleen/Stomach. Assists the Heart and calms the Spirit.
Why might Prepared Rehmannia (Shu Di Huang) help with vertigo?
Because Prepared Rehmannia is an ingredient in several formulas indicated to treat vertigo as a symptom, like Zuo Gui Wan or Qi Ju Di Huang Wan for instance.
Prepared Rehmannia is a Warm herb that tastes Sweet. It targets the Kidney and the Liver.
Its main actions are: Tonifies the Blood. Tonifies the Yin of the Kidneys.
Conditions associated with vertigo
Other symptoms often associated with vertigo
Dizziness Tinnitus Insomnia Palpitations Late period Scanty periods Poor appetite Dry mouth Blurred vision Shortness of breath